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[Speech rehabilitation using Provox voice prosthesis]
Kamal Morshed1, Wiesław Gołabek, Marcin Szymański
1Klinika Otolaryngologii i Onkologii Laryngologicznej AM w Lublinie.
Otolaryngologia Polska = the Polish Otolaryngology
|August 13, 2005
Summary
Tracheoesophageal puncture (TEP) with voice prosthesis implantation restores good vocal function. This study details TEP techniques and presents two-year outcomes for 21 patients, showing improved communication quality.
Area of Science:
- Otolaryngology
- Speech and Language Pathology
Context:
- The historical development of voice prostheses began in 1972, with commercialization and system advancements following.
- Laryngectomy often necessitates methods to restore vocal function and communication.
Purpose:
- To describe the tracheoesophageal puncture (TEP) technique for voice restoration.
- To present two-year outcomes of TEP with voice prosthesis implantation in 21 patients.
Summary:
- The study involved 21 patients undergoing TEP, with 16 receiving primary TEP and immediate Provox 2 prosthesis, and 5 undergoing secondary TEP.
- Complications included prosthesis leakage and extrusion in 7 patients. Mean device lifetime was 216 days, shorter in radiated patients (150 days) versus non-radiated (255 days).
- Prosthetic voice quality was superior to esophageal speech, highlighting the efficacy of voice prostheses for communication.
Impact:
- The voice prosthesis is a straightforward method for restoring good voice quality and enabling patient communication.
- This research provides valuable data on TEP technique outcomes and voice prosthesis longevity, informing clinical practice.